FAQ’s

I'm not located in New Jersey, can you still do my billing?

Absolutely! We are a nationwide billing service.

How does it work?

It’s simple. You send us forward a benefit inquiry to us and we check and verify benefits. You complete a daily activity form and transmit that to us, we enter your activity into our practice management system, or, alternatively you can access our system directly and enter your work from your computer. We then submit your claims. You receive payment. We receive most of your Explanation of Benefits (EOB) electronically. We take care of the rest! Find out more about how it works!

Do you specialize in mental health?

I don’t participate with insurance or managed care companies but patients want me to submit claims. Can you do that for me?

We can service you regardless of your network status with insurance companies.

Can you do patient statements?

Sending patient statements is included as part of our services at no extra cost.

Do you keep track of authorizations?

We recommend in-house authorization tracking and will provide additional support through our system.

Can my patients call you directly if they have questions about their insurance?

On all our patient statements our toll-free number is listed. Patients can call with billing questions if needed.

Are you able to check benefits ahead of time so that I know how much to charge my patient when s/he comes in for the first time?

Yes. We provide a simple form that you transmit to us in advance of your seeing a new patient. We investigate the patient’s benefits and provide you with benefit information within 24 hours.

What are your hours? Will I be able to reach you when I need to?

Typically someone is in the office from 9 am eastern time to 5 pm eastern time, Monday through Friday. Our fax machine is on to receive faxes 24 hours a day, 7 days a week. We are also always accessible by e-mail.

Do I retain control over my money?

Absolutely. We never receive your checks. Patient and insurance checks are payable to you and received at your address.

I am not able to keep track of which claims aren’t paid, and then I lose money because things aren’t submitted “Timely.” Will I have to keep track of which claims are paid, or do you do that?

This is what we are here for! Every month we generate an internal “Aging Report” to do follow up on unpaid claims at that time. Since our claims are filed electronically through our clearinghouse, we receive any rejections on a timely and regular basis.

Will I have someone personally overseeing my billing?

You will be assigned to a dedicated Account Manager who will personally oversee the day-to-day operations of your practice and get to know your specific needs.

Technology is not my strong point! Do I have to know a lot about computers?

No! All you need to know is how to fax or email.

Do I have to buy expensive software?

We are a service. There is no software you have to buy or install.

Are you HIPAA compliant?

Of course. We are considered a “business associate” and when you sign up for the service, we will sign a Business Associate Agreement to add to your HIPAA compliance plan.

Insurers/Medicare is forcing me to accept electronic claim submission, deposits, & remittances. Can you do that?

Yes. We can electronically post your 835 remittance files, and in most cases, it is preferable because that leads to faster turnaround of payment. We are able to give you simple and easy access into our clearinghouse’s website to view your electronic remits so you can see what you are getting paid for.

Can you bill for psych or neuropsych testing?

Can you bill if I am a MD?

Can you bill for employee-assistance (EAP) visits?

We routinely bill for EAP visits. We understand the inherent challenges in employee-assistance billing: it’s not standardized, the codes vary widely, and frequently you can’t use a HCFA/CMS-1500 form. We take care of everything except for reporting clinical information!

Can you bill Workers Compensation?

Yes.

I practice in nursing homes rather than an office, can you bill for me?

I would like to increase the profitability of my practice, can you help me with that?

We offer free practice building consultation to our customers. We review your existing fee structure and offer practice building strategies and other suggestions about how to increase your income.

Can you handle past-due accounts and outstanding claims I currently have?

Yes. However, the fee for handling outstanding patient accounts or claims from dates of service prior to your start date may be separate and distinct from the regular billing package, depending on whether they have been previously submitted and denied.

Are you a collection agency? Will you work with collection agencies?

No, we are not a licensed collection agency. We cannot report delinquent debt to credit reporting agencies, nor do we ever contact patients by phone or email about past due balances. However, we can refer delinquent accounts to a collection agency.